Literature DB >> 16521032

A paradigm to investigate the regulation of cocaine self-administration in human cocaine users: a randomized trial.

W J Lynch1, A Sughondhabirom, B Pittman, R Gueorguieva, R Kalayasiri, D Joshua, P Morgan, V Coric, R T Malison.   

Abstract

RATIONALE: We recently conducted a pilot study supporting the feasibility, safety, and validity of a human laboratory model of ad libitum cocaine administration in which subjects self-selected the timing of infusions. The current study extends this work to include a randomized design with a test-retest component in a larger sample.
OBJECTIVES: To investigate the regulation of cocaine intake by humans and its effects on subjective and cardiovascular responses.
MATERIALS AND METHODS: Subjects were 14 non-treatment seeking volunteers (10 M, 4 F) with cocaine abuse/dependence. Subjects self-administered cocaine infusions (0, 8, 16, and 32 mg/70 kg) over a 2-h period under a fixed ratio 1, 5-min time-out schedule on 4 consecutive days. A fifth session was conducted at 16-mg dose to assess the paradigm's test-retest reliability.
RESULTS: Subjects regulated their cocaine intake in a dose-dependent fashion. Self-reports of cocaine-related subjective effects (e.g., "high" and "stimulated") also varied in a dose-dependent way. Test-retest data and the randomized design support the conclusion that such effects are not due to tolerance or other experimental artifacts.
CONCLUSION: The current study replicates prior work demonstrating the feasibility, safety, and validity of our human laboratory paradigm of cocaine administration in a larger sample using a randomized design. The current study also shows the test-retest reliability of these methods, establishing its utility for comparisons of experimental interventions (e.g., pharmacological treatments). Finally, the current study suggests that factors other than drug-induced euphoria (i.e., "high") contribute to the regulation of cocaine-taking behaviors in humans.

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Year:  2006        PMID: 16521032     DOI: 10.1007/s00213-006-0323-5

Source DB:  PubMed          Journal:  Psychopharmacology (Berl)        ISSN: 0033-3158            Impact factor:   4.530


  19 in total

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5.  Self-administration of optical isomers of amphetamine and methylamphetamine by rats.

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6.  Cocaine-reinforced behavior in rats: effects of reinforcement magnitude and fixed-ratio size.

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7.  Self-administration of cocaine by humans: a laboratory perspective.

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8.  The effects of escalating doses of smoked cocaine in humans.

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9.  Plasma cocaine concentrations during cocaine paste smoking.

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6.  Evaluation of the dopamine β-hydroxylase (DβH) inhibitor nepicastat in participants who meet criteria for cocaine use disorder.

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9.  Subjective responses and cardiovascular effects of self-administered cocaine in cocaine-abusing men and women.

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10.  Evidence for habitual and goal-directed behavior following devaluation of cocaine: a multifaceted interpretation of relapse.

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